Sellers' Contact Request Form

To request my services to sell your home, please provide
the necessary information in the form below. I look forward
to assisting you in selling your property in the minimum
amount of time, and at the price you feel is right.

You May Attach a File:

First and Last Name *

Street Address

City

State

Zip Code

E-mail Address: *

Phone Number

Bedrooms *

Bathrooms *

Special Features (Pool, Deck, etc.)

Year Built?

Your Comments or Questions

Best Time to Reach Me Is: *

Please Contact Me By *

EmailPhone

*Required

Policy of
Confidentiality
- "Your e-mail
address, telephone number, or any personal information
you provide Al Flores will be kept in confidence, and as such, the
information will not be sold, passed along, or exchanged to
anyone for any reason, except with your permission. I will only
use it to communicate with you regarding real estate
business."

Al Flores, REALTOR®

Each Office
Independently Owned and Operated. 2004 CENTURY 21 Real Estate Corporation® and sm
trademark and servicemark of CENTURY 21 Real Estate
Corporation. Equal housing opportunity. "All information provided is deemed reliable
but is not guaranteed and should be independently
verified."